Organic Voice Disorder Treatments Flashcards
Treatment: Vocal Fold Nodules, Polyps, and Cysts
> Modified voice rest
Low impact voice
Voice therapy (laryngeal relaxation, RVT, VFE)
Surgical removal
Treatment: Papilloma
Laser surgery w/ Mitomycin C (deterrent applied at the anterior commisure)
Treatment: Candida/Fungus
> Anti-fungal meds
>Hydration
Treatment: Granuloma/Contact Ulcers
>PPI x6+ months >Reflux diet >Hydration >Modified voice rest >Low impact voice
Treatment: Congenital (stenosis, atresia, fistula)
> Surgery
Treatment: Web
Surgery w/ Mitomycin C
Treatment: Hemmorhage
> Modified voice rest
Hydration
Reflux diet (no caffeine, alcohol, smoking)
Steriods
Voice therapy (laryngeal relaxation, RVT)
Treatment: Laryngitis
> Modified voice rest
Medications (PPI, antibiotics, allergy steriods)
Hydration
Treatment: Reinke’s Edema
>Surgery (if occluding airway) >Smoking cessation (a must) >Hydartion >Reflux diet >PPI
Treatment: Leukoplakia
> Biopsy (determine that it’s not cancer)
Smoking cessation
Hydration
Reflux diet
Treatment: Cancer
> Surgery (laser, partial/complete larygectomy)
Voice therapy (post laryngectomy)
»Compensatory cordectomy (partial)
»Alaryngeal voice (electrolarynx, Es, TEP)
Smoking cessation
Hydration
Radiation/Chemotherapy
Treatment: Laryngeal Trauma
> Modified voice rest
Hydration
Medication: steroids, antibiotics
Treatment: LPR
> PPI x6+ months
Reflux diet
Hydration
Treatment: Paralysis (LMN involvement)
> Voice therapy
(compensatory techniques: hard glottal attacks, isometric push, swallowing precautions)
Surgery
(VF augmentation and medialization)
Treatment: Flaccidity (LMN involvement)
Voice therapy
>Compensatory & strengthening techniques
>Swallowing precautions
>Palatal lift